comparing the outcomes of using bipolar scissors for male circumcision to the classic scalpel method
A prospective, randomized study, comparing two different techniques for pediatric male circumcision: the bipolar diathermy scissors technique with that of a classic scalpel technique. Study included male infants from 40 days old up to 18 month old. They were reviewed regarding Operative time, bleeding, complications, postoperative pain and morbidity. Differences in the outcome were compared.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
200
Post-operative bleeding
occurrence of active bleeding after circumcision
Time frame: A week
Post-operative pain
pain after operation as assessed and described by parents (through a questionnaire) by the Neonatal/Infant Pain Scale (NIPS): It is composed of six (6) indicators. * facial expression * cry * breathing patterns * arms * legs * state of arousal Each behavioral indicator is scored with 0 or 1 except "cry", which has three possible descriptors therefore, being scored with a 0, 1 or 2. Infants should be observed for one minute in order to fully assess each indicator. Total pain scores range from 0-7. Pain Level is determined as: 0-2 = mild to no pain. 3-4 = mild to moderate pain \>4 = severe pain
Time frame: A week
wound complications
occurrence of infection, necrosis or skin loss around wound
Time frame: Two weeks
Cosmetic outcome
Presence or absence of scar
Time frame: Two month
Operative time
Duration of procedure of both techniques
Time frame: Operative time
Over or under correction
Excessive or insufficient removal of foreskin (presence of redundant skin or compression of penile length)
Time frame: 2 month
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